Cholestyramine crystal deposits as a possible cause of small bowel perforation.

Q4 Medicine
Tine Nordal, Jakob Burcharth, Anders Christian Cordtz, Nicolas Storm, Thomas Korgaard Jensen
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引用次数: 0

Abstract

This is a case report of a 70-year-old woman with possible cholestyramine-induced bowel perforation. She had a prior history of pancreaticoduodenectomy for pancreatic cancer with a daily intake of cholestyramine. She underwent emergency laparotomy for small bowel perforation twice. Subsequent pathology reports showed crystal depositions in the small bowel wall. Leasions spread out on the small bowel and the omentum during the second surgery were thought to be carcinomatosis. However, the pathology report showed no malignant cells but plenty of crystal depositions as seen with cholestyramine intake.

胆碱酯酶晶体沉积物可能是导致小肠穿孔的原因之一。
这是一份病例报告,涉及一名可能因服用胆司他明导致肠穿孔的 70 岁女性。她曾因胰腺癌接受过胰十二指肠切除术,并每天服用胆色素。她曾两次因小肠穿孔而接受急诊开腹手术。随后的病理报告显示,小肠壁有晶体沉积。在第二次手术中,小肠和网膜上的浸润被认为是癌变。然而,病理报告显示没有恶性细胞,但有大量晶体沉积,就像摄入胆碱时看到的那样。
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来源期刊
Ugeskrift for laeger
Ugeskrift for laeger Medicine-Medicine (all)
CiteScore
0.20
自引率
0.00%
发文量
345
期刊介绍: The Ulster Medical Journal is an international general medical journal with contributions on all areas of medical and surgical specialties relevant to a general medical readership. It retains a focus on material relevant to the health of the Northern Ireland population. The Honorary Editor would welcome offers of papers for publication. Prospective authors are invited to read the notice to contributors.
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